Lub tshuaj Glemaz: cov lus qhia rau kev siv > Kev khomob thiab kev tiv thaiv

Daim ntawv muab cov tshuaj - cov ntsiav tshuaj: duab plaub, tiaj, lub teeb ntsuab hauv cov xim, nrog 3 cov thawb sib txuas tau thov thoob plaws qhov dav ntawm cov ntsiav tshuaj ntawm ob sab thiab faib nws ua 4 qhov sib luag (5 lossis 10 daim hauv cov hlwv, hauv ib pob ntawm cardboard 3 lossis 6 blisters )

Cov khoom xyaw nquag: glimepiride, hauv 1 ntsiav tshuaj - 4 mg.

Cov khoom siv ntxiv: microcrystalline cellulose, magnesium stearate, cellulose, croscarmellose sodium, xiav xim ci ntsa iab, quinoline daj zas xim.

Cov Yuav Tsum Muaj

Yam 1 ntshav qab zib
Leukopenia
Kev tsis zoo hauv lub raum (suav nrog contraindicated rau cov neeg mob ntawm hemodialysis),
Kev mob siab rau daim siab,
Mob ntshav qab zib precoma thiab coma, uas ketoacidosis,
Cov xwm txheej nrog malabsorption ntawm cov zaub mov thiab kev txhim kho hypoglycemia (suav nrog cov kis mob),
Tsis txog 18 xyoo
Cev xeeb tub thiab lactation
Cov tshuaj tiv thaiv tsis haum rau cov tshuaj ntawm cov tshuaj lossis lwm yam sulfonylurea derivatives thiab sulfonamide tshuaj.

Glemaz yuav tsum tau siv nrog ceev faj nyob rau hauv tej yam kev mob uas yuav tsum tau hloov chaw ntawm tus neeg mob mus rau kev kho mob insulin, xws li malabsorption ntawm cov khoom noj thiab cov tshuaj nyob rau hauv lub plab zom mov (suav nrog kev mob plab thiab lub plab hnyuv), kev phais mob loj, kev raug mob hnyav ntau yam, mob kub hnyiab.

Tsuas tshuaj thiab tswj hwm

Glemaz noj ntawm qhov ncauj. Cov koob tshuaj txhua hnub yuav tsum tau noj nyob rau hauv ib qho ua ntej lossis thaum noj mov tshais lossis thawj cov zaub mov tseem ceeb. Cov ntsiav tshuaj yuav tsum tau nqos yam tsis tau ntxo, ntxuav nrog kom muaj kua txaus (kwv yees li ½ khob). Tom qab noj cov ntsiav tshuaj, nws tsis pom zoo kom hla ib pluas noj.

Cov koob tshuaj thaum xub thawj thiab txij nkawm yog txiav txim siab nyob ntawm tus kheej nyob ntawm seb qhov tshwm sim ntawm kev txiav txim siab tsis tu ncua ntawm kev xav ntawm cov concentration ntawm cov piam thaj hauv cov ntshav.

Thaum pib kho, 1 mg ntawm glimepiride feem ntau yog kho (1 /₄ ntsiav tshuaj) 1 lub sijhawm hauv ib hnub. Yog tias nws muaj peev xwm ua tiav qhov kev pom zoo rau kev kho mob, cov tshuaj yuav tsum tau noj nyob rau hauv tib lub tshuaj (raws li kev tswj kho).

Thaum tsis muaj cov tshuaj tswj glycemic, cov tshuaj txhua hnub yog maj mam nce, qhov tshuaj xyuas cov kua qab zib hauv cov ntshav: txhua 1-2 lub lis piam, thawj zaug txog 2 mg, tom qab txog 3 mg, tom qab ntawd nce txog 4 mg (ib koob tshuaj ntau dua 4 mg tsuas siv tau tshwj xeeb ) Qhov nyiaj pab ntau tshaj rau niaj hnub yog 8 mg.

Lub sijhawm thiab ntau zaus ntawm kev siv tshuaj yog txiav txim los ntawm tus kws kho mob raws li tus neeg mob txoj kev ua neej. Qhov kev kho mob yog ntev, tswj los ntawm cov ntshav hauv qab.

Siv ua ke nrog metformin

Yog tias glycemic tswj tsis tuaj yeem ua tiav hauv cov neeg mob noj cov tshuaj metformin, kev kho mob sib xyaw nrog Glemaz yuav raug tshuaj. Hauv qhov no, koob tshuaj metformin yog tswj nyob rau tib theem, thiab glimepiride raug tso cai nyob hauv qhov tsawg kawg nkaus, tom qab ntawd nws maj mam nce mus txog qhov siab tshaj plaws txhua hnub (nyob ntawm seb cov concentration ntawm cov piam thaj hauv cov ntshav). Kev sib xyaw ua ke yog ua tiav los ntawm kev saib xyuas zoo.

Siv ua ke nrog cov tshuaj insulin

Yog tias cov neeg mob tau txais Glemaz ntawm qhov siab tshaj plaws raws li ib yam tshuaj los yog hauv kev sib xyaw nrog qhov ntau kawg ntawm cov tshuaj metformin tsis tuaj yeem ua tiav glycemic tswj, kev kho mob sib xyaw nrog cov tshuaj insulin tuaj yeem ua raws. Hauv qhov no, koob tshuaj kawg ntawm glimepiride tshuav tsis hloov, thiab cov tshuaj insulin raug tso rau hauv qhov tsawg kawg nkaus thiab, yog tias tsim nyog, maj mam nce nws nyob rau hauv kev tswj hwm kev tswj hwm ntawm cov kua nplaum hauv cov ntshav. Txoj kev kho tag nrho yog ua tiav los ntawm kev saib xyuas zoo.

Hloov chaw ntawm tus neeg mob mus rau Glemaz los ntawm lwm qhov ncauj tshuaj hypoglycemic

Thaum hloov mus rau tus neeg mob los ntawm lwm tus neeg sawv cev rau qhov ncauj ntshav lub cev, qhov pib ntawm glimepiride yuav tsum yog 1 mg, txawm hais tias lwm qhov tshuaj raug noj nyob rau qhov siab tshaj plaws. Yog tias tsim nyog, yav tom ntej, koob tshuaj Glemaz tau nce ntxiv stepwise raws li cov lus qhia dav dav tau piav qhia saum toj no thiab coj mus rau hauv tus lej ua haujlwm, qhov koob tshuaj thiab lub sijhawm ua haujlwm ntawm cov tshuaj hypoglycemic. Qee qhov xwm txheej, tshwj xeeb tshaj yog thaum siv hypoglycemic tus neeg sawv cev nrog lub sijhawm ntev ib nrab-lub neej, nws yuav tsim nyog tso tseg kev kho mob ib ntus (rau ob peb hnub) txhawm rau kom tsis txhob muaj qhov cuam tshuam ntxiv uas ua rau muaj kev phom sij ntawm hypoglycemia.

Hloov chaw ntawm tus neeg mob los ntawm insulin mus rau glimepiride

Muaj qee kis tshwj xeeb, thaum coj kev kho mob insulin rau cov neeg mob ntshav qab zib hom 2 mob ntshav qab zib, thaum them nyiaj rau tus kabmob thiab cov haujlwm tsis pub lwm tus muaj cov kabmob ua rau pancreatic cells-cell, insulin tuaj yeem hloov nrog glimepiride. Txais tos ntawm Glemaz pib nrog kev txhaj tshuaj tsawg kawg ntawm 1 mg, hloov mus rau lwm tus yog ua raws li kev saib xyuas mob nkeeg.

Sab sij huam

Kev tiv thaiv kab mob: hypoglycemic tshua uas tshwm sim sai tom qab noj tshuaj (lawv tuaj yeem muaj daim ntawv foos hnyav thiab chav kawm, lawv tsis tuaj yeem nres ib qho yooj yim),,
Lub plab zom mov: mob plab, hnov qhov hnyav lossis tsis xis nyob hauv lub epigastrium, xeev ntuav, ntuav, raws plab, daj ntseg, cholestasis, ntau ntxiv kev ua haujlwm ntawm hepatic transaminases, kab mob siab (txog rau lub siab tsis ua haujlwm),
Cov kab mob hematopoietic: mob ntshav lossis mob ntshav qab zib tsawg, mob erythrocytopenia, leukopenia, granulocytopenia, pancytopenia, agranulocytosis, thrombocytopenia (mob nrab rau mob hnyav),
Lub cev ntawm lub zeem muag: ntau zaus thaum pib kho - kho qhov muag tsis pom kev zoo,
Ua xua: urticaria, tawv nqaij ua pob khaus, khaus (feem ntau mob sib khuav xwb, tab sis tuaj yeem vam meej, ua tsis taus pa thiab ua rau cov ntshav qis, ua rau anaphylactic ceeb), khaub thuas sib tiv thaiv nrog sulfonamides thiab lwm yam sulfonylureas lossis cov tshuaj zoo sib xws, mob vasculitis,
Lwm yam: hauv qee qhov xwm txheej - hyponatremia, asthenia, photosensitivity, mob taub hau, thiav tawv nqaij.

Cov lus qhia tshwj xeeb

Glemaz yuav tsum ua kom nruj me ntsis raws li tus kws kho mob pom zoo. Kev tos txais kom tsis raug (piv txwv, hla kev siv tshuaj ntxiv) tsis tuaj yeem txiav tawm ib zaug ntawm koob tshuaj ntxiv dua. Tus neeg mob yuav tsum nrog tus kws kho mob tham ua ntej cov kev ntsuas uas yuav tsum tau ua thaum muaj kev ua txhaum lossis qhov xwm txheej thaum tsis tuaj yeem siv tshuaj ntxiv rau lub sijhawm uas tau teem tseg. Tus neeg mob yuav tsum qhia rau tus kws kho mob tam sim ntawd yog tias nws tau noj ntau dhau lawm.

Kev loj hlob ntawm cov qog ntshav qab zib tom qab noj Glemaz hauv ib koob tshuaj 1 mg txhua hnub txhais tau hais tias glycemia tuaj yeem tswj tau los ntawm kev noj zaub mov noj xwb.

Thaum them nyiaj rau cov ntshav qab zib hom 2 tiav lawm, insulin rhiab heev dhau lawm, yog li yuav tau txhaj tshuaj glimepiride kom tsawg dua. Txhawm rau tiv thaiv kev txhim kho hypoglycemia, koj yuav tsum txo qis ib ntus los yog txiav tawm tag nrho Glemaz. Kev hloov kho koob tshuaj yuav tsum tau ua nrog kev hloov pauv ntawm tus neeg mob lub cev qhov hnyav, kev ua neej, lossis lwm yam uas yuav ua rau kev loj hlob ntawm hypo- lossis hyperglycemia.

Tshwj xeeb kev saib xyuas tus neeg mob yog qhov tsim nyog nyob rau hauv thawj lub lim tiam ntawm kev kho mob, vim hais tias Nws yog nyob rau lub sijhawm no uas qhov kev pheej hmoo ntawm kev txhim kho hypoglycemia nce. Ib qho xwm txheej zoo li no tshwm sim thaum tsis noj mov lossis noj zaub mov tsis xwm yeem.

Nws yuav tsum tau yug los rau hauv lub siab tias cov tsos mob ntawm hypoglycemia tuaj yeem smoothed lossis tag nrho cov neeg laus, cov neeg mob autonomic neuropathy thiab cov neeg mob tau txais beta-blockers, reserpine, clonidine, guanethidine. Kev mob ntshav qab zib yuav luag txhua zaus muaj peev xwm nres sai sai los ntawm kev noj zaub mov sai (ua kom qab zib lossis qabzib, piv txwv, hauv daim ntawv ntawm cov piam thaj, tshuaj yej qab zib lossis kua txiv txiv). Vim li no, nws raug nquahu tias cov neeg mob yuav tsum muaj tsawg kawg 20 g ntawm cov piam thaj (4 daim ntawm cov piam thaj ua kom zoo) nrog lawv. Cov khoom qab zib hauv kev kho mob ntawm hypoglycemia yog qhov tsis muaj txiaj ntsig.

Tag nrho lub sijhawm ntawm kev kho mob nrog Glemaz, nws yog ib qho tsim nyog yuav tsum tau soj ntsuam kom tsis tu ncua cov kua dej hauv cov ntshav, qib ntawm glycosylated hemoglobin, daim siab ua haujlwm, daim duab ntawm peripheral ntshav (tshwj xeeb yog cov platelets thiab leukocytes).

Thaum muaj kev ntxhov siab (piv txwv, nrog cov kis kab mob nrog kev kub taub hau, phais lossis mob plig), yuav tsum hloov mus ib ntus ntawm tus neeg mob mus rau insulin.

Thaum kho, kev ceev faj yuav tsum tau siv thaum ua rau cov haujlwm muaj feem phom sij, kev siv uas yuav tsum muaj cov tshuaj tiv thaiv thiab nce siab ntxiv (suav nrog thaum tsav tsheb).

Yeeb tshuaj sib cuam tshuam

Nrog tib lub sij hawm siv Glemaz nrog lwm cov tshuaj, ib qho kev hloov pauv ntawm nws cov yeeb yam yog tau - txhim kho lossis txo zog. Yog li, txoj kev yuav noj lwm yam tshuaj yuav tsum pom zoo nrog koj tus kws kho mob.

Kev ntxiv dag zog rau kev ua haujlwm hypoglycemic ntawm Glemaz thiab, vim li ntawd, kev txhim kho hypoglycemia tuaj yeem ua rau muaj kev sib koom tes nrog cov tshuaj hauv qab no: insulin, metformin, lwm qhov ncauj tshuaj hypoglycemic, angiotensin hloov enzyme inhibitors, anabolic steroids thiab txiv neej pw ua ke, monoamine oxidase inhibitors, salicylates (hauv acid), antimicrobial tus neeg sawv cev - quinolone derivatives, tetracyclines, sympatholytics (suav nrog guanethidine), qee cov sulfonamides ntev ua haujlwm, thiab lwm yam. coumarin derivatives, fibrates, allopurinol, trofosfamide, fenfluramine, ifosfamide, fluoxetine, miconazole, cyclophosphamide, chloramphenicol, oxyphenbutazone, tritokvalin, azapropazone, fluconazole, sulfinpyrazone, phenylbutazone, pentoxifylline (muab parenterally nyob rau hauv siab koob tshuaj).

Kev ua kom tsis muaj zog ntawm qhov kev ua haujlwm hypoglycemic ntawm Glemaz thiab, vim li ntawd, kev nce ntxiv hauv cov concentration ntawm cov piam thaj hauv cov ntshav, tuaj yeem ua rau kev sib koom tes ua ke nrog cov tshuaj hauv qab no: glucocorticosteroids, thiazide diuretics, laxatives (nrog siv ntev), estrogens thiab progestogens, barbiturates, epinephrine thiab lwm yam kev mob siab, tshuaj mob plab nicotinic acid (nyob rau hauv koob tshuaj) thiab nws cov derivatives, glucagon, diazoxide, acetazolamide, phenothiazine derivatives, suav nrog chlorpromazine, rifampicin, phenytoin, lithium ntsev ntsev, cov thyroid hormones.

Reserpine, clonidine, histamine H blockers₂receptors tuaj yeem ua rau ob qho tib si ua kom tsis muaj zog thiab muaj txiaj ntsig rau qhov kev mob hypoglycemic ntawm glimepiride. Hauv qab ntawm cov tshuaj thiab guanethidine, qhov ua kom tsis muaj zog lossis ua tiav ntawm qhov kev soj ntsuam ntawm tus mob ntshav qab zib yog qhov ua tau.

Glimepiride tuaj yeem ua kom tsis muaj zog lossis txhim kho cov nyhuv ntawm coumarin derivatives.

Kev siv tib lub sijhawm sib xyaw ua ke ntawm cov tshuaj uas tiv thaiv cov leeg pob txha hematopoiesis, txoj kev pheej hmoo ntawm kev tsim myelosuppression nce.

Kev siv tshuaj cawv ib leeg lossis mob ntev tuaj yeem ua rau ob leeg txhim kho thiab ua rau cov nyhuv qog tsis zoo ntawm Glemaz.

Cov qauv ntawm cov tshuaj Glemaz yog: Amaryl, Glimepiride, Glimepiride Canon, Diamerid.

Cov lus qhia rau kev siv Glemaz (txoj kev thiab qhov ntau npaum li cas)

Glemaz ntsiav tshuaj noj noj ntawm qhov ncauj ib zaug kiag tam sim ua ntej lossis thaum noj tshais hearty, los yog thawj pluas mov loj. Noj cov ntsiav tshuaj tag nrho, tsis txhob zom, haus dej kom ntau (txog 0.5 khob). Qhov ntau npaum li cas tau raug teeb tsa ib leeg zuj zus raws li cov txiaj ntsig tau los ntawm kev saib xyuas tsis tu ncua ntawm cov ntshav qabzib hauv siab.

Thawj koob tshuaj: 1 mg 1 zaug nyob rau ib hnub. Thaum ua tiav qhov kev pom zoo rau kev kho kom zoo, nws raug nquahu kom noj cov tshuaj no ua kev tswj hwm.

Thaum tsis muaj cov tshuaj tswj glycemic, maj mam nce ntxiv ntawm cov tshuaj txhua hnub yog muaj peev xwm (nrog saib xyuas cov ntshav qabzib ntau nyob rau ncua sijhawm ntawm 1 txog 2 lis piam) txog 2 mg, 3 mg lossis 4 mg ib hnub. Kev noj tshuaj ntau dua 4 mg rau ib hnub tuaj yeem tsuas yog kho tshwj xeeb.

Qhov tshuaj tiv thaiv ntau tshaj plaws txhua hnub: 8 mg.

Cov chav kawm ntawm kev kho mob: rau lub sij hawm ntev, nyob rau hauv kev tswj hwm ntawm cov ntshav piam thaj.

Siv ua ke nrog metformin

Thaum tsis muaj glycemic tswj nyob rau hauv cov neeg mob noj cov tshuaj metformin, concomitant kev kho mob nrog glimepiride yog ua tau.

Thaum tswj hwm cov koob tshuaj metformin nyob rau tib theem, kev kho mob nrog glimepiride pib nrog qhov txhaj tshuaj tsawg kawg, thiab tom qab ntawd cov koob tshuaj yuav nce zuj zus ntxiv nyob ntawm qhov xav tau ntau ntawm cov piam thaj hauv cov ntshav, nce mus txog qhov siab tshaj plaws txhua hnub.

Kev sib xyaw ua ke yuav tsum tau ua nyob rau hauv kev saib xyuas mob nkeeg zoo.

Siv ua ke nrog cov tshuaj insulin

Muaj qee kis, kev kho mob monotherapy nrog Glemaz, nrog rau kev sib xyaw nrog metformin, tsis muab cov txiaj ntsig xav tau: kev tswj glycemic tsis tuaj yeem ua tiav. Hauv cov xwm txheej zoo li no, kev sib txuas ntawm glimepiride nrog insulin yog ua tau. Hauv qhov no, koob tshuaj kawg ntawm glimepiride tshuaj rau tus neeg mob tseem tsis tau hloov pauv, thiab kev kho tshuaj insulin pib nrog qhov txhaj tshuaj tsawg kawg, nrog kev tshwm sim tom qab kev nce qeeb hauv nws cov koob tshuaj nyob rau hauv kev tswj hwm ntawm cov ntshav qab zib.

Kev kho mob sib xyaw ua ke yuav tsum muaj kev saib xyuas kev kho mob uas yuav tsum tau ua.

Hloov pauv los ntawm lwm qhov ncauj tshuaj hypoglycemic rau glimepiride

Kev noj tshuaj txhua hnub: 1 mg (txawm tias tus neeg mob hloov mus rau glimepiride nrog qhov siab tshaj plaws ntawm lwm qhov tshuaj hypoglycemic hauv qhov ncauj).

Ib qho kev nce qib hauv koob tshuaj Glemaz yuav tsum tau nqa tawm hauv theem, nyob ntawm qhov ua tau zoo ntawm kev kho mob, qhov koob tshuaj thiab lub sijhawm ntawm kev ua haujlwm ntawm hypoglycemic tus neeg sawv cev siv.

Qee qhov xwm txheej, tshwj xeeb tshaj yog thaum noj tshuaj hypoglycemic nrog lub sijhawm ntev ib nrab-lub neej, nws yuav tsim nyog mus ib ntus (tsis pub dhau ob peb hnub) txiav kev kho mob txhawm rau kom zam dhau ib qho txiaj ntsig ntxiv uas ua rau muaj kev pheej hmoo ntawm hypoglycemia.

Txhais lus los ntawm cov kua dej los rau glimepiride

Muaj qee kis tshwj xeeb, thaum coj kev kho mob insulin rau cov neeg mob ntshav qab zib hom 2, thaum kho mob rau cov kabmob thiab tswj tsis pub cov kabmob ntawm pancreatic cells-hlwb, nws muaj peev xwm hloov insulin nrog glimepiride.

Kev txhais lus yog nqa tawm los ntawm kev saib xyuas ntawm tus kws kho mob.

Thawj koob tshuaj: 1 mg rau ib hnub.

Sab sij huam

Kev siv cov tshuaj yuav ua rau cov kev mob tshwm sim hauv qab no:

Kev tiv thaiv kab mob: tsis ntev tom qab siv tshuaj, qhov tshwm sim ntawm hypoglycemic tshua yog ua tau, uas tuaj yeem muaj qhov kev kawm hnyav thiab daim ntawv thiab lawv tsis tuaj yeem nres ib txwm yooj yim.
Organs ntawm lub zeem muag: lub sij hawm kho (tshwj xeeb thaum pib), pom muaj kev cuam tshuam txog kev hloov pauv cuam tshuam txog kev hloov ntshav hauv cov ntshav hauv lub hlwb.
Hematopoietic system: leukopenia, aplastic lossis hemolytic anemia, mob me mus rau mob hnyav thrombocytopenia, pancytopenia, agranulocytosis, erythrocytopenia thiab granulocytopenia.
Lub plab zom mov: tawm tsam xeev ntuav, ntuav, mob plab, tsis xis nyob lossis hnyav nyob hauv epigastrium, raws plab, nce kev ua si ntawm daim siab enzymes, daj ntseg, cholestasis, mob siab (nrog rau kev loj hlob ntawm daim siab tsis ua haujlwm).
Ua xua tshwm sim: tawv nqaij ua pob khaus, khaus, urticaria kuj yuav tshwm sim. Feem ntau, cov kev xav zoo li no yog mob sib khuav xwb, tab sis qee zaum tuaj yeem hloov kho, nrog ua pa luv (txog kev txhim kho kev mob tshwm sim), txo qis ntshav siab. Cov tshuaj tiv thaiv khaub thuas sib xyaw nrog lwm cov sulfonylurea derivatives, sulfonamides lossis sulfonamides yog ua tau, nrog rau kev txhim kho ntawm kev ua xua vasculitis.
Lwm yam: hauv qee qhov xwm txheej, kev loj hlob ntawm cov hlais hlais ntoo pliag hlaus, cov duab ntawm qhov tseem ceeb, kev mob siab, mob hawb pob, thiab mob taub hau yog ua tau.

Pharmacological kev txiav txim

Glemaz yog qhov ncauj tshuaj hypoglycemic. Cov khoom siv tseem ceeb ntawm cov tshuaj yog glimepiride, uas ua rau lub ntsej muag tawm thiab tso tawm cov kua dej los ntawm cov kua (pancreatic effect), txhim kho qhov rhiab ntawm peripheral nqaij (nqaij thiab rog) rau qhov kev ua ntawm nws tus kheej insulin (ntxiv-nyhuv pancreatic).

Nrog kev noj ib zaug, ob lub raum rho mus txog 60% ntawm qhov kev noj tshuaj, tshuav 40% mus rau hauv cov hnyuv. Cov tshuaj tsis raug hloov nyob rau hauv cov zis tsis tau kuaj pom. T_1/2 ntawm ntshav ntau qhov ntau ntawm cov tshuaj hauv cov ntshav ua kom ntau rau kev noj tshuaj ntau dua, yog 5 - 8 teev._1/2 tom qab noj cov tshuaj hauv qhov siab kawg.

Noj ntau dhau

Raws li kev txheeb xyuas ntawm Glemaz, tom qab siv tshuaj ntau kawg ntawm cov tshuaj, hypoglycemia yuav tshwm sim, kav ntev li 12-72 teev, uas tuaj yeem rov ua dua tom qab kev rov ua dua ntawm cov ntshav qabzib.

Kev mob ntshav qab zib yog tshwm sim los ntawm: kev tawm hws, tachycardia, ntxhov siab, palpitations, nce ntshav siab thiab qab los noj mov, mob plawv, mob taub hau, mob taub hau, mob taub hau, kiv taub hau, tsaug zog, xeev siab, ntuav, ntxhov siab, hnia, ntxhov siab, txo qis, tsis meej pem, , paresis, tshee tshee, convulsions, tsis hnov mob, tsis nco qab.

Txhawm rau kho ib qho kev xav ntau dhau, nws yog qhov tsim nyog los ua kom qaug zog ntawm tus neeg mob. Cov dej haus hnyav nrog sodium picosulfate thiab qhib lub tshuab hluav ncaig kuj tseem qhia.

Yog tias kev siv tshuaj ntau ntawm cov tshuaj siv, tom qab ntawd lub plab zom zaub mov yog ua tiav, tom qab ntawd sodium picosulfate thiab qhib lub tshuab hluav taws xob yog ua kom paub, tom qab uas dextrose tau qhia. Cov kev kho ntxiv yog cov tsos mob.

Kev cuam tshuam nrog lwm yam tshuaj

Nrog tib lub sijhawm siv cov tshuaj nrog:

Metformin, insulin, lwm qhov ncauj hypoglycemic agents, allopurinol, ACE inhibitors, txiv neej nrog txiv neej pw cov tshuaj hormones, anabolic steroids, chloramphenicol, cyclophosphamide, coumarin derivatives, ifosfamide, trofosfamide, fibrates, fenfluramine, sympatholytic, fluoxetine, Mao inhibitors, pentoxifylline, miconazole, probenecid, phenylbutazone , oxyphenbutazone, azapropazone, salicylates, quinolone derivatives, tetracyclines, sulfinpyrazone, fluconazole, tritokvalin - tshwm sim lub lethality ntawm nws cov hypoglycemic siv,
Acetazolamide, diazoxide, barbiturates, saluretics, glucocorticosteroids, thiazide diuretics, epinephrine, glucagon, nicotinic acid thiab nws cov derivatives, phenothiazine derivatives, estrogens thiab progestogens, cov thyroid hormones - nws cov nyhuv hypoglycemic ua kom tsis muaj zog,
Cov Tshuaj Hluav Taws Xob H₂-caws kev, clonidine, haus dej cawv - tuaj yeem ua rau ob qho kev ua kom tsis muaj zog thiab ua kom cov ntshav qog zoo,
Los ntawm cov tshuaj uas inhibit pob txha mob hematopoiesis, muaj kev pheej hmoo ntawm myelosuppression tau nce.